Evidence map›Paper›PMID 41866503›Full record

ArticleBMC oral health2026

Predictors for complications and the removal of osteosynthesis material after mandibular fractures: a retrospective analysis.

Simon Bigus, Tim Lukas Elter, Margrit Welter, Jan Oliver Voss, Nils Lucca Kern, Heilwig Fischer, Steffen Koerdt, Kilian Kreutzer, Max Heiland, Carsten Rendenbach and 1 more

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In one paragraph

Article in BMC oral health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Simon BigusDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany. simon.bigus@charite.de.
Tim Lukas ElterDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
Margrit WelterDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
Jan Oliver VossDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
Nils Lucca KernDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
Heilwig FischerDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
Steffen KoerdtDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
Kilian KreutzerDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
Max HeilandDepartment of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
Carsten Rendenbach *Department of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.
Claudius Steffen *Department of Oral and Maxillofacial Surgery, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, Berlin, 13353, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to identify factors leading to postoperative complications after open reduction and internal fixation (ORIF) of mandibular fractures. In addition, predictors associated with plate removal after surgery were identified.

methodsThis retrospective single-center cohort study included adult patients who underwent primary ORIF of mandibular fractures between 12/2017 and 12/2019. Demographic and clinical data were extracted from medical records. The primary outcome was postoperative surgical site– and hardware-related complications, defined as wound healing disorder, surgical site infection, fistula formation, or plate exposure. The secondary outcome was removal of osteosynthesis material. Multivariable logistic regression analysis was used to identify independent predictors for both outcomes.

resultsA total of 377 patients were included. Postoperative surgical site– or hardware-related complications occurred in 17.0% of patients. Osteosynthesis material was removed in 112 patients (29.6%) during follow-up. The most frequent indication for removal was patient request without medical complaints (48.6%), followed by sensory disturbance (20.7%) and infection (18.9%). In multivariable analysis, falls as trauma mechanism were associated with a lower risk of postoperative complications (p < 0.05). Younger age (< 65 years; p < 0.01) and the occurrence of any postoperative complication (p < 0.01) were independently associated with subsequent osteosynthesis removal.

conclusionsPlate removal is more likely in cases with complications and in patients < 65 years. Further research is needed to investigate whether and to what extent a second operation for osteosyntheses removal is really necessary.

Indexed as

Bone PlatesFracture Fixation, InternalMandibular FracturesPostoperative ComplicationsAdultAgedFemaleHardware RemovalHumansMaleMiddle AgedOpen Fracture ReductionRetrospective StudiesRisk FactorsSurgical Wound InfectionHardware removalInternal fracture fixationMandibular fracturesOpen fracture reductionOsteosynthesisPostoperative complications

Identifiers

PMID41866503
PMCPMC13063742

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.